| NPI | 1952357097 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35080200C) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01062801A) |
| 207P00000X Emergency Medicine (Licence: CA c170279) | |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2024-07-07 |